MI Wayne-Westland Community Schools Medication Authorization Form 2016-2025 free printable template

Wayne Westland Community SchoolsMedication Authorization Form When medication is a necessity during school time, administration of the medication by school personnel requires physician direction.

How to fill out MI Wayne-Westland Community Schools Medication Authorization

How to fill out MI Wayne-Westland Community Schools Medication Authorization Form

1. Obtain the MI Wayne-Westland Community Schools Medication Authorization Form from the school's website or the school office.
2. Fill out the student's information including their name, date of birth, and grade.
3. Provide the name of the medication that needs to be administered along with the dosage and frequency.
4. Include the dates for which the medication is to be administered.
5. Fill in any known allergies or adverse reactions the student may have.
6. Have the physician or licensed prescriber complete their section, including their signature and contact information.
7. Sign the form as a parent or guardian to authorize the medication administration.
8. Submit the completed form to the school office along with the medication in its original container.

Who needs MI Wayne-Westland Community Schools Medication Authorization Form?

1. Students who require medication during school hours must have this form completed.
2. Parents or guardians of students who need to administer prescription or over-the-counter medication at school.
3. School staff responsible for overseeing medication administration to students.

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What is MI Wayne-Westland Community Schools Medication Authorization Form?

The MI Wayne-Westland Community Schools Medication Authorization Form is a document that allows parents or guardians to authorize school personnel to administer prescribed medications to their children during school hours.

Who is required to file MI Wayne-Westland Community Schools Medication Authorization Form?

The form must be filed by parents or guardians of students who need to take prescribed medications while at school.

How to fill out MI Wayne-Westland Community Schools Medication Authorization Form?

To fill out the form, parents or guardians should provide detailed information about the student, the medication, dosage, frequency, and the reasons for administering the medication, along with signatures where required.

What is the purpose of MI Wayne-Westland Community Schools Medication Authorization Form?

The purpose of the form is to ensure that school staff have the necessary authorization and information to safely administer medications to students who require them during school hours.

What information must be reported on MI Wayne-Westland Community Schools Medication Authorization Form?

The form must include the student's name, medication details (name, dosage, frequency), potential side effects, physician's information, and signatures from both the parent or guardian and the prescribing physician.